Reconstruction of the burned breast.

Abstract:

:Fundamental principles of management of breast burns begin with recognition and preservation of any viable breast bud tissue. Reconstruction begins when the burned breast envelope is insufficient to allow unrestricted breast development. Complete contracture release is obtained by incision or excision of the restricting burn scar and thick split-thickness grafting. Occasionally, breast mound reconstruction with regional musculocutaneous flaps or tissue expanders is necessary. Balancing procedures, such as reduction or mastopexy of an opposite unburned breast, are often helpful. After a period of 6 to 12 months of compression garments, scar management, and settling, nipple-areola reconstruction is undertaken and consists of a combination of local flaps, full-thickness grafting, or composite grafts tailored to each patient's needs. Long-term follow-up is necessary to ensure that breast development continues satisfactorily and that contractures do not recur.

journal_name

Clin Plast Surg

authors

MacLennan SE,Wells MD,Neale HW

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

113-9

issue

1

eissn

0094-1298

issn

1558-0504

journal_volume

27

pub_type

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